#Occhat – Occupational Goal Setting – Grabchat

Here is the introductory blog post. Thanks all for your contributions. Next #occhat on 12th March moves on in the OT Process to Occupational Interventions. Come and brag about all your fantastic occupational practice.

Healthcare hashtags summary as a PDF, link to the analytics, and the Grabchat below.

Please do share your further comments or reflections below.

 

Involved …

@kirstyes @BillWongOT @clissa89 @Keeper85 @OTalk_Occhat @tigrez @gilliancrossley @Stalkerbird @tabbycats4 @CharOTReilly @LadybirdLynnie @Dai2584 @annabelrule @otnotes @anyadei @OTSophie @OTKaff @UKFCE @Helen_otuk @jfaias @alilou250969 @RebeccaTwinley @FrancescaABrown @RachHallster @PresenceLearn @Nursey_JimBob @Flawson12 @mamaotblog @VictoriaBetton @CommuneOT @BPDFFS @Lisa_D_OT @aiysha89 @catriona_ogilvy @OT_Jen @uk_james @HHStaff @BAOTCOT @casmarketing1 @DoBeDoBeDo14 @StaaceLouu @Sibellgul

Top resources …

http://t.co/OY9HqyaSmV
http://t.co/tzvBBQDL2O
http://t.co/4ESoxMPJuA
http://t.co/u24ODxRXfo
http://t.co/o7oyVcSzIt
http://t.co/tHpEnZrxWt
http://t.co/GQ8xvoNh92
http://t.co/BXCpeze6FJ
http://t.co/bPf6mtB4aE
http://t.co/TAq5vmJ4IN

Related tags …

#otuesday #autism #ot #occupationaltherapy #bpdchat

See Twitter for more tweets, people, videos and photos for #occhat

@BillWongOT Counting down towards my birthday and celebrate that day with some #otgeeks . Can’t wait for Tuesday’s #occhat to do so.(Sun, 24 Feb 2013 04:28:44 +0000)
@PresenceLearn #OCChat – check out this interview with Dr. Rondalyn Whitney on why schools should adopt online occupational therapy http://t.co/2Yvyr6FY21 (Sun, 24 Feb 2013 18:15:24 +0000)
@Helen_otuk HT Social media is just as relevant as a conference when doing your CPD – useful blog from @dtbarron http://t.co/ohBlsYfkT8#otalk #occhat (Mon, 25 Feb 2013 09:57:05 +0000)
@OTalk_Occhat @Dai2584 Tomorrow is #Occhat – Occupational Goal Setting. With our very own @kirstyes . 8pm UK time.(Mon, 25 Feb 2013 19:22:15 +0000)
@Helen_otuk Hi @Sal_OTKnut @LauEmmott @SarahDobby77094 @queenmullers , just to let you know tomorrow is #occhat and all about Occupational Goal Setting.(Mon, 25 Feb 2013 19:34:56 +0000)
@Helen_otuk @SarahDobby77094 @sal_otknut @lauemmott @queenmullers Don’t forget tomorrow is #occhat . Have fun, I will expect reports for you all. (he he)(Mon, 25 Feb 2013 20:02:45 +0000)
@clissa89 #OTuesday will also be #occhat -ing tonight about occupational goal setting 🙂 (8pm GMT)(Tue, 26 Feb 2013 07:06:07 +0000)
@BillWongOT This #OTuesday is my birthday. Can’t wait to celebrate it with fellow #occhat -ers.(Tue, 26 Feb 2013 07:39:06 +0000)
@OT_Jen @clissa89 #occhat later sounds extremely interesting too, but in this hectic week rising early enough to catch you could be challenging(Tue, 26 Feb 2013 08:35:43 +0000)
@BAOTCOT Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 14:46:00 +0000)
@casmarketing1 RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 14:46:50 +0000)
@OTalk_Occhat #occhat – Occupational Goal Setting http://t.co/4ESoxMPJuA (Tue, 26 Feb 2013 16:13:46 +0000)
@OTalk_Occhat #occhat – Occupational Goal Setting http://t.co/u24ODxRXfo (Tue, 26 Feb 2013 16:13:46 +0000)
@HHStaff . @mamaotblog reviews the @DexteriaApp LetterReflex on @AOTAInc blog –> http://t.co/OY9HqyaSmV #OTuesday #occhat (Tue, 26 Feb 2013 16:15:00 +0000)
@Nursey_JimBob RT @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/u24ODxRXfo (Tue, 26 Feb 2013 16:16:09 +0000)
@Sibellgul RT @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/4ESoxMPJuA (Tue, 26 Feb 2013 16:17:40 +0000)
@kirstyes ? @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/pnw0EYh8Qp? I’m hosting this tonight.(Tue, 26 Feb 2013 16:18:21 +0000)
@aiysha89 RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 17:41:28 +0000)
@clissa89 8pm GMT (2 hours from now) – all welcome! RT @OTalk_Occhat : #occhat – Occupational Goal Setting http://t.co/ZBJgtalvHa (Tue, 26 Feb 2013 17:53:59 +0000)
@StaaceLouu @clissa89 thank you! Starts mid April – will be me and a band 5 to run ortho and trauma! Eek! #supervisor # #OTuesday #occhat #development (Tue, 26 Feb 2013 19:05:15 +0000)
@clissa89 @COTSSWork hi there 🙂 good to interact with people – tweetchats on tuesday evenings 8pm are #occhat (tonight)/ #Otalk , also #OTuesday (Tue, 26 Feb 2013 19:23:10 +0000)
@clissa89 #occhat in half an hour: occupational goal setting. Who’s joining us tonight? (& has anyone got Haribo Tangfastics to share?) #OTuesday (Tue, 26 Feb 2013 19:31:56 +0000)
@gilliancrossley @clissa89 hoping to be online! will try not to fall asleep #occhat (Tue, 26 Feb 2013 19:45:57 +0000)
@gilliancrossley RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 19:46:14 +0000)
@catriona_ogilvy RT @BAOTCOT : Tonight’s #occhat is on occupational goal setting – follow the hashtag from 8pm to join or watch the conversation…(Tue, 26 Feb 2013 19:47:02 +0000)
@kirstyes Hi #occhat only just got in. Going to grab some food and back at 20.00(Tue, 26 Feb 2013 19:47:45 +0000)
@OTalk_Occhat #occhat in 15mins: occupational goal setting. If new to tweetchatting, here’s a guide: http://t.co/tzvBBQDL2O #OTuesday #occupationaltherapy (Tue, 26 Feb 2013 19:47:46 +0000)
@clissa89 @gilliancrossley staying awake’s my goal too, just dozed off in the bath #occhat (Tue, 26 Feb 2013 19:48:41 +0000)
@uk_james RT @OTalk_Occhat : #occhat in 15mins: occupational goal setting. If new to tweetchatting, here’s a guide: http://t.co/tzvBBQDL2O #OTuesday #occupationaltherapy (Tue, 26 Feb 2013 19:49:12 +0000)
@gilliancrossley @Sophiebenko #occhat starts in 10 minish.. just noticed your account is private works best if public during the chat. can be relocked after(Tue, 26 Feb 2013 19:49:20 +0000)
@alilou250969 #occhat will be here hoping to learn something to take on 2nd yr placement(Tue, 26 Feb 2013 19:51:36 +0000)
@clissa89 @alilou250969 glad you could make it tonight 🙂 hope you find it useful/interesting! #occhat (Tue, 26 Feb 2013 19:52:59 +0000)
@BillWongOT *brings a virtual b-day cake to celebrate my b-day today* #occhat (Tue, 26 Feb 2013 19:53:45 +0000)
@alilou250969 @clissa89 #occhat thanks(Tue, 26 Feb 2013 19:53:53 +0000)
@clissa89 @BillWongOT yay Bill! we’re honoured that you’re choosing to share your birthday with us 🙂 *gets paper plates* #occhat (Tue, 26 Feb 2013 19:54:16 +0000)
@RachHallster hi #occhat . Been awhile!(Tue, 26 Feb 2013 19:56:39 +0000)
@clissa89 @RachHallster hi Rach! glad you’re here tonight 🙂 #occhat (Tue, 26 Feb 2013 19:56:54 +0000)
@RachHallster @clissa89 Hi Clarissa! Hope you’re well. Glad to be here tonight #occhat (Tue, 26 Feb 2013 19:58:08 +0000)
@clissa89 @Sophiebenko ooh brilliant! 😀 welcome! let me (or @gilliancrossley ) know if you need any help 🙂 #occhat (Tue, 26 Feb 2013 19:59:18 +0000)
@OTalk_Occhat Hi #occhat ! @clissa89 on the @OTalk_Occhat account tonight, trying to stay awake after a very long day.(Tue, 26 Feb 2013 20:00:21 +0000)
@kirstyes Hi all, I’m hosting #occhat tonight but I’m still grabbing some dinner. The topic is Occupational Goal Setting.(Tue, 26 Feb 2013 20:01:00 +0000)
@Dai2584 http://t.co/TdJ0B01RDl #Occhat Here the code of practice for the MH measure wales, Chapter 4 is outcomes. i.e the law in Wales now(Tue, 26 Feb 2013 20:01:37 +0000)
@OTalk_Occhat Who’s here for #occhat tonight? Say hi, even if you’re lurking! 🙂 #OTuesday #occupationaltherapy (Tue, 26 Feb 2013 20:01:39 +0000)
@kirstyes First question: Do you routinely set goals with clients? #occhat (Tue, 26 Feb 2013 20:01:42 +0000)
@OTalk_Occhat A reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/o7oyVcSzIt #Occhat (Tue, 26 Feb 2013 20:02:15 +0000)
@Dai2584 Hi here a guide on care planning from Hafal ,which is a MH charity in Wales, all pt in 2nd services have #Occhat http://t.co/GQ8xvoNh92 ?(Tue, 26 Feb 2013 20:02:27 +0000)
@clissa89 @Dai2584 that’s interesting, does the code of practice say anything about goal setting? #Occhat (Tue, 26 Feb 2013 20:02:57 +0000)
@BillWongOT Not much of a creative cake person. But here it comes. http://t.co/bPf6mtB4aE #occhat everyone have some “virtual cake”.(Tue, 26 Feb 2013 20:03:12 +0000)
@clissa89 @kirstyes I do, but in a less formal/structured way than I have previously #occhat (Tue, 26 Feb 2013 20:03:34 +0000)
@BillWongOT @kirstyes I will reply from a client perspective- my OT at LRD sets goals w/ me at the end of every session. #occhat (Tue, 26 Feb 2013 20:04:01 +0000)
@OTalk_Occhat @Dai2584 thanks for sharing, is there anything you would like to draw our attention to for the purpose of the chat? #Occhat (Tue, 26 Feb 2013 20:04:04 +0000)
@Stalkerbird @BillWongOT nice virtual cake and not fattening!
#occhat (Tue, 26 Feb 2013 20:04:04 +0000)
@gilliancrossley @Sophiebenko yes stress management was great! so excited to have you on #occhat :)(Tue, 26 Feb 2013 20:04:37 +0000)
@Dai2584 @clissa89 #Occhat yeah look at chapter 4 and also look at the hafal guide I posted. they were heavely involved with this new law(Tue, 26 Feb 2013 20:04:46 +0000)
@OTalk_Occhat @Sophiebenko I can imagine! do you have a specific format for recording your goals? #occhat (Tue, 26 Feb 2013 20:04:51 +0000)
@FrancescaABrown @OTalk_Occhat 1st year MSc student following here. Interested to learn more about #occhat and #ot across social media platforms(Tue, 26 Feb 2013 20:04:58 +0000)
@OTalk_Occhat @FrancescaABrown hi Francesca, great to have you with us tonight 🙂 have you had any experience of goal setting on placement? #occhat #ot (Tue, 26 Feb 2013 20:05:40 +0000)
@BillWongOT @kirstyes But as an OT, I probably will set mini goals to help the clients reach STG’s and/or LTG’s. #occhat (Tue, 26 Feb 2013 20:05:50 +0000)
@RebeccaTwinley RT @OTalk_Occhat : A reminder: professional standards apply online too, and here are @The_HCPC guidelines: http://t.co/o7oyVcSzIt #Occhat (Tue, 26 Feb 2013 20:05:55 +0000)
@Stalkerbird I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:06:13 +0000)
@gilliancrossley @kirstyes yes. I need to be able to demonstrated that goals are set and being met. Ensure that clients can see their achievement #occhat (Tue, 26 Feb 2013 20:06:54 +0000)
@BillWongOT RT @Stalkerbird : I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:06:55 +0000)
@OTalk_Occhat @Stalkerbird have you got any tips for finding the balance/measur…ability? #occhat (Tue, 26 Feb 2013 20:07:12 +0000)
@gilliancrossley RT @Stalkerbird : I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:07:30 +0000)
@OTalk_Occhat @gilliancrossley I found my neuro placement best for goal setting, they used Goal Attainment Scaling, very structured #occhat (Tue, 26 Feb 2013 20:07:33 +0000)
@CharOTReilly #occhat I feel it’s important to make sure occupational goals and driven by client choices, client is most knowledgable(Tue, 26 Feb 2013 20:07:47 +0000)
@OTKaff I’m lurking with the lurgy, but here for debate and virtual cake #occhat (Tue, 26 Feb 2013 20:07:53 +0000)
@BillWongOT @gilliancrossley @kirstyes That’s pretty important. I think it is important for therapist and client to negotiate that. #occhat (Tue, 26 Feb 2013 20:08:08 +0000)
@OTalk_Occhat @OTKaff thank you for joining us even though you’re not well 🙂 I’m sure there’s a pot of virtual tea around here somewhere… #occhat (Tue, 26 Feb 2013 20:08:29 +0000)
@gilliancrossley @OTalk_Occhat yes.. I work in the Neuro field and goals need to be attainable. Set clients up for success they can see #occhat (Tue, 26 Feb 2013 20:08:40 +0000)
@Stalkerbird @OTalk_Occhat I try to take a measure of now, specially when it is something about increasing confidence, in order to measure later #occhat (Tue, 26 Feb 2013 20:08:47 +0000)
@BillWongOT @OTalk_Occhat @Stalkerbird If it’s me, sometimes it’s in minutes. Sometimes it’s in the # of times the clients can do something. #occhat (Tue, 26 Feb 2013 20:08:52 +0000)
@OTalk_Occhat @gilliancrossley yes see and measure! #occhat (Tue, 26 Feb 2013 20:09:14 +0000)
@kirstyes @Dai2584 Could you summarise what that means for goal setting? #occhat (Tue, 26 Feb 2013 20:09:20 +0000)
@gilliancrossley RT @OTalk_Occhat : @gilliancrossley yes see and measure! #occhat (Tue, 26 Feb 2013 20:09:37 +0000)
@UKFCE @kirstyes #occhat when I case manage I set goals with folk & when doing FCEs there maybe tiny goals for that Ax(Tue, 26 Feb 2013 20:09:37 +0000)
@BillWongOT @Sophiebenko @OTalk_Occhat I think some settings have standardized time frames- influenced by facility, insurance, etc. #occhat (Tue, 26 Feb 2013 20:10:05 +0000)
@CharOTReilly #occhat SMART goals: specific, measurable, achievable, realistic and timely(Tue, 26 Feb 2013 20:10:14 +0000)
@kirstyes @Sophiebenko Hi there. So what does SMART stand for, for you? Can you give examples of types of goals you set? #occhat (Tue, 26 Feb 2013 20:10:23 +0000)
@kirstyes @clissa89 Why do you think that is? #occhat (Tue, 26 Feb 2013 20:10:34 +0000)
@tabbycats4 lurking without intent! hello I’m full of cold 😦 #occhat (Tue, 26 Feb 2013 20:10:59 +0000)
@gilliancrossley @UKFCE @kirstyes Yes I have to set clear goals for case management too. #occhat (Tue, 26 Feb 2013 20:11:04 +0000)
@kirstyes @BillWongOT Do you fell you have a lot of input in the goals? #occhat (Tue, 26 Feb 2013 20:11:07 +0000)
@gilliancrossley RT @tabbycats4 : lurking without intent! hello I’m full of cold 😦 #occhat (Tue, 26 Feb 2013 20:11:15 +0000)
@Stalkerbird @CharOTReilly check out MH4OT discussion ?facebook – A for activity – I liked the sound of that #occhat (Tue, 26 Feb 2013 20:11:20 +0000)
@clissa89 @tabbycats4 we seem to have a few ill people tonight! help yourself to some virtual cake and tea, hope you feel better 🙂 #occhat (Tue, 26 Feb 2013 20:11:34 +0000)
@Dai2584 @kirstyes #occhat the law states who you have to consult with in order to outcome plan/goal set. The area’s you need to look at etc.(Tue, 26 Feb 2013 20:11:58 +0000)
@kirstyes RT @Stalkerbird : I set goals with parents in parenting groups, can be hard to get mix of meaningful goal and measurable goal… #occhat (Tue, 26 Feb 2013 20:12:00 +0000)
@BillWongOT @kirstyes Yes, because the OT directly asked me what I wanted to achieve by next session. #occhat (Tue, 26 Feb 2013 20:12:05 +0000)
@kirstyes @Stalkerbird Do you think that equates to long term (meaningful) and short term (measurable) goals maybe?? #occhat (Tue, 26 Feb 2013 20:12:35 +0000)
@OTalk_Occhat @Stalkerbird @SophieBenko @kirstyes seen a few different versions, eg R – Resourced/Realistic & M Meaningful/Measurable #occhat (Tue, 26 Feb 2013 20:12:43 +0000)
@CharOTReilly @kirstyes @sophiebenko in case studies we set goals & SMART objective e.g. Increase func independence Obj: practice transfers daily #occhat (Tue, 26 Feb 2013 20:13:01 +0000)
@kirstyes @OTalk_Occhat @gilliancrossley Did you find the GAS goals took long to come up with? #occhat (Tue, 26 Feb 2013 20:13:17 +0000)
@OTalk_Occhat @Stalkerbird @CharOTReilly I haven’t seen that discussion yet, can you summarise?? (is that possible?) #occhat (Tue, 26 Feb 2013 20:13:19 +0000)
@Stalkerbird @kirstyes maybe, and maybe that is also conflict about goal for service and goal for client? #occhat (Tue, 26 Feb 2013 20:14:01 +0000)
@BillWongOT @CharOTReilly @kirstyes @Sophiebenko In school settings, this is similar, such as # of letters recognized in alphabet. #occhat (Tue, 26 Feb 2013 20:14:08 +0000)
@CharOTReilly @Stalkerbird will do I love the sound of that #occhat #occfocused (Tue, 26 Feb 2013 20:14:10 +0000)
@tigrez #occhat the goals we set in community health tend to be loose, the emphasis is continuing rehab until ideal achieved or no further progress(Tue, 26 Feb 2013 20:14:13 +0000)
@kirstyes #occhat People used Occupational Therapy models to guide their Assessment Process but does this continue through to the goal setting stage?(Tue, 26 Feb 2013 20:14:16 +0000)
@LadybirdLynnie I continually set goals with clients throughout MH interventions. As a persons confidence increases goals can change #occhat (Tue, 26 Feb 2013 20:14:35 +0000)
@BillWongOT @LadybirdLynnie yup… I see that from a client perspective. #occhat (Tue, 26 Feb 2013 20:15:16 +0000)
@Stalkerbird @OTalk_Occhat it is quite a discussion – lots of devil’s advocate positions! #occhat (Tue, 26 Feb 2013 20:15:33 +0000)
@OTalk_Occhat @LadybirdLynnie hi Lynne 🙂 can you give us some examples of types of goals? #occhat (Tue, 26 Feb 2013 20:15:34 +0000)
@kirstyes @Stalkerbird @OTalk_Occhat So would you simply measure their confidence on a scale and aim for a level of conf they wanted? #occhat (Tue, 26 Feb 2013 20:15:36 +0000)
@Dai2584 @Stalkerbird @kirstyes #occhat I’ve had issues over professionlism with how goals are worded re service goals/ client goals(Tue, 26 Feb 2013 20:15:44 +0000)
@OTSophie Interestingly,sometimes in practice we are asked to NOT b specific in order to avoid tricky legal situations!Has any1 else had this? #occhat (Tue, 26 Feb 2013 20:16:03 +0000)
@gilliancrossley GAS scaling as mentioned by @clissa89 #occhat http://t.co/BXCpeze6FJ (Tue, 26 Feb 2013 20:16:16 +0000)
@kirstyes @UKFCE FCE? #occhat (Tue, 26 Feb 2013 20:16:28 +0000)
@OTalk_Occhat @OTSophie that’s a new situation to me, can you give an example? #occhat (Tue, 26 Feb 2013 20:16:30 +0000)
@BillWongOT @kirstyes I think so because if they r motivated on the goals, then they r more likely 2 put the effort 2 at least try to meet them. #occhat (Tue, 26 Feb 2013 20:16:36 +0000)
@kirstyes @BillWongOT @Sophiebenko @OTalk_Occhat So what happens if you think the client won’t meet those time frames? #occhat (Tue, 26 Feb 2013 20:17:03 +0000)
@DoBeDoBeDo14 Just started OT course so dropping in on #Occhat tonight!(Tue, 26 Feb 2013 20:17:06 +0000)
@BillWongOT @OTSophie yes… this is interesting… please tell us more. #occhat (Tue, 26 Feb 2013 20:17:14 +0000)
@kirstyes RT @Stalkerbird : @CharOTReilly check out MH4OT discussion ?facebook – A for activity – I liked the sound of that #occhat (Tue, 26 Feb 2013 20:17:23 +0000)
@Stalkerbird @kirstyes yes – think if their identified goal is increased confidence it is the goal to go for #occhat (Tue, 26 Feb 2013 20:17:30 +0000)
@OTalk_Occhat @DoBeDoBeDo14 yay! welcome to #Occhat and to the profession 🙂 hope you’ll find the chat interesting/useful. we’re talking goal setting(Tue, 26 Feb 2013 20:17:36 +0000)
@gilliancrossley RT @OTalk_Occhat : @DoBeDoBeDo14 yay! welcome to #Occhat and to the profession 🙂 hope you’ll find the chat interesting/useful. we’re talking goal setting(Tue, 26 Feb 2013 20:17:51 +0000)
@BillWongOT @kirstyes @Sophiebenko @OTalk_Occhat If it’s in school setting, then the goals will have to be modified for next period. #occhat (Tue, 26 Feb 2013 20:18:00 +0000)
@UKFCE @kirstyes Soz functional capacity eval it’s for work Ax mostly #occhat (Tue, 26 Feb 2013 20:18:10 +0000)
@tabbycats4 have been on 2 placements and goals not really prioritised on acute stroke ward more about discharge #occhat (Tue, 26 Feb 2013 20:18:18 +0000)
@gilliancrossley RT @tabbycats4 : have been on 2 placements and goals not really prioritised on acute stroke ward more about discharge #occhat (Tue, 26 Feb 2013 20:18:36 +0000)
@kirstyes This chapter good #occhat Bowman, J & Mogensen, L.L (2010) Writing occupation-focused goals. In Curtin M, Molineux M & Supyk-Mellson J 1/2(Tue, 26 Feb 2013 20:18:44 +0000)
@OTalk_Occhat @tabbycats4 it’s interesting, all my placements have been very different. where I work now, “care plans” are prioritised #occhat (Tue, 26 Feb 2013 20:18:50 +0000)
@BillWongOT @kirstyes @Sophiebenko @OTalk_Occhat But in other times, you may have to fight w/ insurance company for more services. #occhat (Tue, 26 Feb 2013 20:18:55 +0000)
@gilliancrossley RT @kirstyes : This chapter good #occhat Bowman, J & Mogensen, L.L (2010) Writing occupation-focused goals. In Curtin M, Molineux M & Supyk-Mellson J 1/2(Tue, 26 Feb 2013 20:18:55 +0000)
@kirstyes #occhat 2/2 (2010) Occupational Therapy and Physical Dysfunction. Edinburgh: Churchill Livingstone/Elsevier, pp. 95-109.(Tue, 26 Feb 2013 20:18:58 +0000)
@Stalkerbird has anyone had anything to do with IAPT? (Improving access to psychological therapies)> focus on routine outcome measurement #occhat (Tue, 26 Feb 2013 20:19:02 +0000)
@gilliancrossley RT @kirstyes : #occhat 2/2 (2010) Occupational Therapy and Physical Dysfunction. Edinburgh: Churchill Livingstone/Elsevier, pp. 95-109.(Tue, 26 Feb 2013 20:19:13 +0000)
@kirstyes RT @Dai2584 : @kirstyes #occhat the law states who you have to consult with in order to outcome plan/goal set. The area’s you need to look at etc.(Tue, 26 Feb 2013 20:19:15 +0000)
@OTalk_Occhat @kirstyes I remember that being a very good chapter, but don’t remember the details of how they formatted goals #occhat (Tue, 26 Feb 2013 20:19:25 +0000)
@CharOTReilly @OTalk_Occhat @tabbycats4 agree with that, every setting is different isn’t it #occhat (Tue, 26 Feb 2013 20:19:40 +0000)
@kirstyes @Dai2584 Interesting that it dictates who, hope the client and carers are on that list. #occhat (Tue, 26 Feb 2013 20:19:41 +0000)
@CharOTReilly @kirstyes love this book!! #occhat (Tue, 26 Feb 2013 20:20:01 +0000)
@kirstyes @BillWongOT What would you say happens if they don’t feel your goal is realistic for example? Do they break it down with you? #occhat (Tue, 26 Feb 2013 20:20:33 +0000)
@kirstyes Do we have any OT clients here tonight? If so what has your experience of goal setting been? #occhat (Tue, 26 Feb 2013 20:21:01 +0000)
@BillWongOT @Sophiebenko I think it does, but it is embedded in our practice. Learned about that during my placement site evaluations. #occhat (Tue, 26 Feb 2013 20:21:19 +0000)
@OTSophie . @OTalk_Occhat not one that provided over night care yet we’re forced2due to binding legality of the goal. #occhat (Tue, 26 Feb 2013 20:21:31 +0000)
@clissa89 #BPDChat RT @kirstyes : Do we have any OT clients here tonight? If so what has your experience of goal setting been? #occhat (Tue, 26 Feb 2013 20:21:33 +0000)
@LadybirdLynnie I like people to think of a small goal initially that gives ‘an easy win’ increases confidence in the ‘doing’? and promotes more! #occhat (Tue, 26 Feb 2013 20:22:03 +0000)
@kirstyes @tigrez Who sets the ideal? Is stating an ideal not setting a goal? Albeit a long term one. #occhat (Tue, 26 Feb 2013 20:22:11 +0000)
@BillWongOT @kirstyes That never happened to me. I think it’s because I know how to set reasonable goals well for myself. #occhat (Tue, 26 Feb 2013 20:22:14 +0000)
@BillWongOT @kirstyes I think if I didn’t follow through with a goal, they will then ask me why I didn’t follow through first. #occhat (Tue, 26 Feb 2013 20:22:52 +0000)
@kirstyes @Stalkerbird @OTalk_Occhat It is well worth a read – I put the link on the blogpost #occhat (Tue, 26 Feb 2013 20:22:59 +0000)
@annabelrule Goals are tricky in acute physical settings. But no doubt patient and OT are working toward same goal of safe discharge? #occhat (Tue, 26 Feb 2013 20:23:07 +0000)
@OTalk_Occhat #occhat MT @OTSophie e.g. from the service is when someone’s goal was”to be able to toilet using commode during the night”.The service were(Tue, 26 Feb 2013 20:23:16 +0000)
@Stalkerbird @kirstyes thanks for the link – it was a good read! #occhat (Tue, 26 Feb 2013 20:23:41 +0000)
@BillWongOT @Sophiebenko Right now I am actually doing research. But, my practice interest is w/ ppl with #autism . #occhat (Tue, 26 Feb 2013 20:23:45 +0000)
@BillWongOT @annabelrule Or I will add sometimes caregivers, too… in the event patients don’t have the ability to set their own goals. #occhat (Tue, 26 Feb 2013 20:24:48 +0000)
@kirstyes @OTSophie @OTalk_Occhat That is very specific including treatment. I’d suggest, toileting safely overnight might be broader. #occhat (Tue, 26 Feb 2013 20:25:15 +0000)
@OTKaff Goals on the acute ward i’m currently on = to home as safe &indep as poss tho some folks not keen on safety and/or independence! #occhat (Tue, 26 Feb 2013 20:25:40 +0000)
@Stalkerbird quick tweet help question – can you go back and look at conversation in tweetchat? #occhat (Tue, 26 Feb 2013 20:26:03 +0000)
@kirstyes @BillWongOT How does using the model increase client motivation do you think? #occhat (Tue, 26 Feb 2013 20:26:22 +0000)
@anyadei #occhat fascinating so far! How can you help patients communicate their goals – 1st step to jointly achieving them http://t.co/TAq5vmJ4IN (Tue, 26 Feb 2013 20:27:14 +0000)
@LadybirdLynnie @OTalk_Occhat some of the goals can be things like going to the supermarket. Taking kids to a school event. Calling a friend etc #occhat (Tue, 26 Feb 2013 20:27:29 +0000)
@clissa89 #occhat MT @tigrez : the client. “ideal” tends to be what they were doing before, or what they need to manage to cope in their new lifestyle(Tue, 26 Feb 2013 20:27:38 +0000)
@BillWongOT @kirstyes If the clients buy into the goals, that’s volition. When they start working towards the goals, that’s habituation. #occhat 1/2(Tue, 26 Feb 2013 20:27:50 +0000)
@BillWongOT @kirstyes When they perform the goals successfully, that’s performance. #occhat (Tue, 26 Feb 2013 20:28:05 +0000)
@kirstyes #occhat Do people then, for example, identify which ?construct? of the model goals are directed at, e.g. for MOHO ? volition or roles, 1/2(Tue, 26 Feb 2013 20:28:19 +0000)
@kirstyes #occhat for CMOP-E, the Person, Different aspects of the environment etc? 1/2(Tue, 26 Feb 2013 20:28:33 +0000)
@LadybirdLynnie @OTalk_Occhat a lot of my patients are agoraphobic hence why these goals tend to be about expanding their world bit by bit #occhat (Tue, 26 Feb 2013 20:29:03 +0000)
@kirstyes @Stalkerbird No, do share more. Does this fit in occupationally do you think? #occhat (Tue, 26 Feb 2013 20:29:19 +0000)
@clissa89 #occhat MT @tigrez : & yes it is a goal…we set loose goals. The emphasis is to improving to maximum potential within our service then…(Tue, 26 Feb 2013 20:29:26 +0000)
@BillWongOT @anyadei This is ideal if the clients have great abilities to. But if not, then I will use motivational interviewing. #occhat (Tue, 26 Feb 2013 20:29:52 +0000)
@BPDFFS RT @clissa89 : #BPDChat RT @kirstyes : Do we have any OT clients here tonight? If so what has your experience of goal setting been? #occhat (Tue, 26 Feb 2013 20:30:36 +0000)
@kirstyes @annabelrule Not always. I’ve known some clients who don’t actually want to go home. #occhat (Tue, 26 Feb 2013 20:30:49 +0000)
@BillWongOT @clissa89 @tigrez In some settings, however, loose goals are discouraged. I know that’s the case w/ my school based placement site. #occhat (Tue, 26 Feb 2013 20:31:04 +0000)
@Dai2584 @LadybirdLynnie @OTalk_Occhat #occhat and my clients too.(Tue, 26 Feb 2013 20:31:06 +0000)
@LadybirdLynnie @annabelrule yes I agree. A lot of people initially come up with goals which are too much and unrealistic. Motivation is key in MH. #occhat (Tue, 26 Feb 2013 20:31:33 +0000)
@kirstyes @anyadei Thanks for the link #occhat (Tue, 26 Feb 2013 20:31:44 +0000)
@BillWongOT @kirstyes @annabelrule I also heard of such cases, too. in some instances, the OT might not be comfortable in sending clients home. #occhat (Tue, 26 Feb 2013 20:31:53 +0000)
@clissa89 #occhat MT @tigrez : Using compensatory measures & referring onto longer term services as appropriate, focus is on updating careplans to …(Tue, 26 Feb 2013 20:32:01 +0000)
@OTKaff MH OTs how do you help avolitional SUs who can’t see ideals or have any goals? #occhat (Tue, 26 Feb 2013 20:32:07 +0000)
@Stalkerbird @kirstyes Just that in the children’s IAPT some of it was having the discussion earlier if things aren’t working, which I liked #occhat (Tue, 26 Feb 2013 20:32:09 +0000)
@clissa89 @OTKaff do you mean, e.g. if someone is unresponsive to environment? #occhat (Tue, 26 Feb 2013 20:32:47 +0000)
@Stalkerbird Sorry – have to dip out for a short while… will catch up hopefully in a bit #occhat (Tue, 26 Feb 2013 20:32:50 +0000)
@BillWongOT @LadybirdLynnie @annabelrule I one time set a goal that my OT thought was unrealistic at the time, turned out I achieved it! #occhat (Tue, 26 Feb 2013 20:32:50 +0000)
@kirstyes RT @OTKaff : MH OTs how do you help avolitional SUs who can’t see ideals or have any goals? #occhat (Tue, 26 Feb 2013 20:32:56 +0000)
@LadybirdLynnie RT @clissa89 : #occhat MT @tigrez : the client. “ideal” tends to be what they were doing before, or what they need to manage to cope in their new lifestyle(Tue, 26 Feb 2013 20:33:27 +0000)
@kirstyes Do we always have to focus at the Occupation level or is it ok to address/set goals around performance components etc.? #occhat (Tue, 26 Feb 2013 20:33:27 +0000)
@clissa89 @kirstyes this is a v good article by Gray: occupation as ends (goal/outcome) and means (treatment modality) http://t.co/tHpEnZrxWt #occhat (Tue, 26 Feb 2013 20:34:16 +0000)
@annabelrule @BillWongOT @LadybirdLynnie It’s true the ‘realistic’ aspect of a SMART goal is definitely subjective. #occhat (Tue, 26 Feb 2013 20:34:27 +0000)
@anyadei @BillWongOT yes – not always possible! If people can still ‘own’ their goals though, however developed!? #occhat (Tue, 26 Feb 2013 20:34:35 +0000)
@BillWongOT @kirstyes That makes me think of Gray (1998) article on occupation as means and occupations as ends. #occhat (Tue, 26 Feb 2013 20:34:47 +0000)
@clissa89 @kirstyes in my practice, it’s often a combination of occupational performance and skills #occhat (Tue, 26 Feb 2013 20:34:54 +0000)
@tigrez @OTalk_Occhat @tabbycats4 care plans, and reviewing and updating them as the person progresses, are the emphasis where I work too. #occhat (Tue, 26 Feb 2013 20:35:22 +0000)
@LadybirdLynnie @BillWongOT I think that’s fair to say. It’s a skill of an OT to break down big goals and make them achievable in the end. #occhat (Tue, 26 Feb 2013 20:35:45 +0000)
@BillWongOT @Dai2584 @kirstyes what I meant is are goals that came through collaboration between the client and the OT. #occhat (Tue, 26 Feb 2013 20:35:56 +0000)
@clissa89 @tigrez @tabbycats4 what kind of setting do you work in? I’d never come across care plans until I started this job #occhat (Tue, 26 Feb 2013 20:36:20 +0000)
@Dai2584 @kirstyes #occhat whats the difference between occ and performance goals. As long as you improving function(Tue, 26 Feb 2013 20:36:31 +0000)
@kirstyes @BillWongOT You & @clissa89 mentioned the same article together #occhat Do you think the occupational goal gets forgotten sometimes?(Tue, 26 Feb 2013 20:36:45 +0000)
@BillWongOT @LadybirdLynnie well… that was actually me trying out to present at #OT conference for the first time. #occhat (Tue, 26 Feb 2013 20:36:53 +0000)
@BillWongOT @LadybirdLynnie so that was basically a “do or die” goal of sorts. #occhat (Tue, 26 Feb 2013 20:37:24 +0000)
@OTKaff @clissa89 #occhat i mean e.g. Someone who perhaps wants to ‘recover’ but can’t identify what they find meaningful(Tue, 26 Feb 2013 20:37:42 +0000)
@BillWongOT @anyadei that’s where motivational interviewing comes in… makes it more likely for clients to own their goals. #occhat (Tue, 26 Feb 2013 20:37:56 +0000)
@kirstyes @Dai2584 Ah but we are occupational therapists not functional therapists. Some say it’s about occ engagement not just performance #occhat (Tue, 26 Feb 2013 20:38:17 +0000)
@tigrez @clissa89 @tabbycats4 Community Response and Rehab team, (previously Intermediate Care) it’s in community NHS #occhat (Tue, 26 Feb 2013 20:38:24 +0000)
@tabbycats4 clissa89 @tigrez was working in MH as support worker used recovery star, next OT placement = equipment #occhat (Tue, 26 Feb 2013 20:38:37 +0000)
@clissa89 @tabbycats4 @tigrez as a support worker, I also used a Star and associated support plans 🙂 #occhat (Tue, 26 Feb 2013 20:39:14 +0000)
@Dai2584 @OTKaff @clissa89 #occhat ever heard of the magic ward question. that helps. when ppl want to recover but dont know how or what to do(Tue, 26 Feb 2013 20:40:18 +0000)
@tabbycats4 @tigrez lucky you! I want to work in the community #occhat (Tue, 26 Feb 2013 20:40:40 +0000)
@kirstyes Think people have started answering – How do we involve our clients in the goal setting process ? whose goals are they anyway? #occhat (Tue, 26 Feb 2013 20:40:43 +0000)
@kirstyes And What challenges are there to being client-centred when goal setting? #occhat (but I’ll put them up anyway)(Tue, 26 Feb 2013 20:41:01 +0000)
@clissa89 @Dai2584 @OTKaff don’t think I’ve heard of it, unless it’s linked to solution focused brief therapy? #occhat (Tue, 26 Feb 2013 20:41:02 +0000)
@LadybirdLynnie @kirstyes I think it does! As a new grad I always try and keep that in mind! #occhat (Tue, 26 Feb 2013 20:41:32 +0000)
@tigrez @BillWongOT @clissa89 it depends on your setting, and what service you are trying to provide, as to what method works best #occhat (Tue, 26 Feb 2013 20:41:42 +0000)
@Dai2584 @kirstyes fair point #occhat (Tue, 26 Feb 2013 20:41:42 +0000)
@otnotes @clissa89 agree, this is what I often do too, especially if component skill is important to client. #occhat (Tue, 26 Feb 2013 20:42:24 +0000)
@clissa89 @kirstyes I often ask people what’s important to them, what they think needs to change etc #occhat (Tue, 26 Feb 2013 20:42:46 +0000)
@tigrez @kirstyes …achieve this by progressing them as the person progresses. The goal of the end result is flexible to reflect this #occhat (Tue, 26 Feb 2013 20:42:52 +0000)
@BillWongOT @tigrez @clissa89 Insurance companies can throw a wrench into setting loose goals. They want “evidence” that clients improve. #occhat (Tue, 26 Feb 2013 20:43:01 +0000)
@kirstyes @Dai2584 But I do agree that we need to work on skills, tasks and activities but ideally have an overall goal of engagement in xyz #occhat (Tue, 26 Feb 2013 20:43:09 +0000)
@anyadei @kirstyes no simple answers but concept of people “owning” their goals is really important! Co-produced, but owned by the patient! #occhat (Tue, 26 Feb 2013 20:43:35 +0000)
@kirstyes @otnotes @clissa89 Can you give an example of a component goal you might set? #occhat (Tue, 26 Feb 2013 20:43:43 +0000)
@clissa89 #occhat RT @Dai2584 : @clissa89 @OTKaff yeah its a brief solution tech. It can work well or quite badly. so you need to be careful(Tue, 26 Feb 2013 20:44:14 +0000)
@otnotes @kirstyes COPM can be useful tool, but some clients are very resistant 2 articulating own goals, just want the professional to do it #occhat (Tue, 26 Feb 2013 20:44:14 +0000)
@BillWongOT @clissa89 @kirstyes Good questions… very client centered! #occhat (Tue, 26 Feb 2013 20:44:15 +0000)
@tabbycats4 how do we help people identify goals when they have been institutionalized in MH rehab setting? motivational interviewing, help? #occhat (Tue, 26 Feb 2013 20:44:30 +0000)
@BillWongOT @annabelrule @tigrez @clissa89 Yes… I sometimes set loose goals as a client. #occhat (Tue, 26 Feb 2013 20:44:43 +0000)
@kirstyes @tigrez If you get chance once the blog post goes up would you give an example in the comments. Hard to get across in 140. #occhat (Tue, 26 Feb 2013 20:45:00 +0000)
@UKFCE @BillWongOT @kirstyes that’s the most simple explanation ever-fab 🙂 thanks #occhat (Tue, 26 Feb 2013 20:45:18 +0000)
@OTSophie . @kirstyes again,i think restrictions in the setting, e.g. FACS banding, resource limitations of all kinds! #occhat (Tue, 26 Feb 2013 20:45:21 +0000)
@tigrez @BillWongOT @clissa89 there are other ways to show evidence, such as progressed care plans, reduced services, & functional scales #occhat (Tue, 26 Feb 2013 20:45:24 +0000)
@BillWongOT @otnotes @kirstyes Agreed. Culture (among 1 of many factors) may have something to do with that. #occhat (Tue, 26 Feb 2013 20:45:27 +0000)
@kirstyes @anyadei Getting their ‘sign-off’ either literally or figuaratively. #occhat (Tue, 26 Feb 2013 20:46:12 +0000)
@tigrez @tabbycats4 it suits me much better, I find there is more client (and therapist) autonomy in the rehab than a hospital setting #occhat (Tue, 26 Feb 2013 20:46:26 +0000)
@LadybirdLynnie in a psychoeducational group setting, I often think people find it hard to define their own goals and tend to go with everyone else. #occhat (Tue, 26 Feb 2013 20:46:28 +0000)
@otnotes @kirstyes @clissa89 #occhat like in hand therapy may have improve ROM/strength/p! But usually try to add “to better complete adl” or similar(Tue, 26 Feb 2013 20:46:40 +0000)
@kirstyes Which goal setting methods have people used and how effective do they find them, e.g. SMART, GAS, NLP, based on the COPM etc etc? #occhat (Tue, 26 Feb 2013 20:46:41 +0000)
@UKFCE @clissa89 @kirstyes me too #occhat (Tue, 26 Feb 2013 20:46:47 +0000)
@BillWongOT @Flawson12 @clissa89 @kirstyes for some clients, u can push them to do more. For some clients, it’s better to be conservative. #occhat (Tue, 26 Feb 2013 20:46:54 +0000)
@kirstyes Going to check my final question out there too Are people comfortable with the distinction between goals and action plans? #occhat (Tue, 26 Feb 2013 20:47:25 +0000)
@kirstyes RT @otnotes : @kirstyes @clissa89 #occhat like in hand therapy may have improve ROM/strength/p! But usually try to add “to better complete adl” or similar(Tue, 26 Feb 2013 20:47:49 +0000)
@OTSophie I think that’s why rapport is so important,to get to know that person to know how to encourage goals to come from that person. #occhat xx(Tue, 26 Feb 2013 20:47:57 +0000)
@CharOTReilly @kirstyes resources can impact ability to be occ focused e.g. Time, money, staff #occhat (Tue, 26 Feb 2013 20:48:01 +0000)
@kirstyes @otnotes @clissa89 Yay for the addition ;o) #occhat (Tue, 26 Feb 2013 20:48:02 +0000)
@annabelrule @kirstyes We were always encouraged at Uni to use SMART and I think it works well #occhat (Tue, 26 Feb 2013 20:48:18 +0000)
@BillWongOT @kirstyes as a client- COPM was used in my LRD sessions. #occhat (Tue, 26 Feb 2013 20:48:21 +0000)
@FrancescaABrown #occhat I may be misunderstanding, but often goal setting was so specific & seemed to be purely for outcome measures for service & not so cc(Tue, 26 Feb 2013 20:48:35 +0000)
@otnotes @BillWongOT yes, elderly pts also. Many parents of peds clients just want me to do things instead of being involved in tx #occhat (Tue, 26 Feb 2013 20:48:39 +0000)
@BillWongOT @kirstyes but in school settings, SMART is the way to go. #occhat (Tue, 26 Feb 2013 20:48:43 +0000)
@BillWongOT RT @CharOTReilly : @kirstyes resources can impact ability to be occ focused e.g. Time, money, staff #occhat (Tue, 26 Feb 2013 20:48:59 +0000)
@BillWongOT @OTSophie yes… have you taken a class on motivational interviewing? #occhat (Tue, 26 Feb 2013 20:49:22 +0000)
@kirstyes RT @FrancescaABrown : #occhat I may be misunderstanding, but often goal setting was so specific & seemed to be purely for outcome measures for service & not so cc(Tue, 26 Feb 2013 20:49:32 +0000)
@tabbycats4 annabelrule @kirstyes also encouraged to use SMART by uni #occhat (Tue, 26 Feb 2013 20:49:40 +0000)
@clissa89 #occhat MT @tigrez : @kirstyes I will try to put an example, but careplans can be quite lengthy in themselves and very individual(Tue, 26 Feb 2013 20:50:02 +0000)
@OTSophie . @BillWongOT I haven’t, but I have read the book! #occhat (Tue, 26 Feb 2013 20:50:35 +0000)
@kirstyes @FrancescaABrown No, I have seen this. Seen goals written as provide chair raisers. They are given but has it changed anything? #occhat (Tue, 26 Feb 2013 20:50:35 +0000)
@tigrez @kirstyes it certainly is. I will try to put an example, but careplans can be quite lengthy in themselves and very individual #occhat (Tue, 26 Feb 2013 20:50:39 +0000)
@CharOTReilly @kirstyes I haven’t acknowledged the difference before. Is goals the aim and action plan how implemented? #occhat gd question made me think(Tue, 26 Feb 2013 20:50:49 +0000)
@OTKaff #occhat a goal for pts is often to get in the bath but in acute setting that’s now for community ots to do – reduced resources(Tue, 26 Feb 2013 20:50:55 +0000)
@BillWongOT @otnotes I think that’s where we got to be flexible. Slowly maybe we can educate clients/caregivers on reality. #occhat (Tue, 26 Feb 2013 20:51:01 +0000)
@otnotes @kirstyes copm more of a tool to define goals but SMART for writing so they are reimbursed #occhat (Tue, 26 Feb 2013 20:51:07 +0000)
@BillWongOT @OTSophie I just took a class on it. Very useful. You should get 3rd edition. #occhat (Tue, 26 Feb 2013 20:51:27 +0000)
@anyadei @kirstyes but an ongoing process too – if they continue to feel ownership of it, more likely of complete goal?! Not just at outset! #occhat (Tue, 26 Feb 2013 20:51:34 +0000)
@kirstyes @tabbycats4 Do you write goals out using each letter or just use the general principles of SMART? #occhat I like writing one/ two sentences(Tue, 26 Feb 2013 20:51:47 +0000)
@tabbycats4 OTSophie . @BillWongOT are there any affordable Motivational interviewing courses?! ps for a student #occhat (Tue, 26 Feb 2013 20:51:57 +0000)
@BillWongOT RT @otnotes : @kirstyes copm more of a tool to define goals but SMART for writing so they are reimbursed #occhat (Tue, 26 Feb 2013 20:52:01 +0000)
@kirstyes @clissa89 @tigrez Thanks – no need to put a whole care plan but just interested in the looseness and how this works. #occhat (Tue, 26 Feb 2013 20:52:20 +0000)
@BillWongOT @tabbycats4 If your school offers a course, take it! That’s what I did. #occhat (Tue, 26 Feb 2013 20:52:26 +0000)
@clissa89 @kirstyes @tabbycats in assignments, I used the format in the Phys Dys book or the MOHO book #occhat (Tue, 26 Feb 2013 20:52:37 +0000)
@kirstyes @OTSophie Very good point. #occhat (Tue, 26 Feb 2013 20:52:59 +0000)
@annabelrule Action plans are the break downs of how OT and SU are going to achieve the goal, step by step? Not widely used in Physical settings? #occhat (Tue, 26 Feb 2013 20:53:00 +0000)
@tigrez @BillWongOT @annabelrule @clissa89 loose goals, such as improving generally in coping with ADL’s or finding new ways, can avoid … #occhat (Tue, 26 Feb 2013 20:53:03 +0000)
@clissa89 @kirstyes @tigrez I’m still getting my head around care plans as I didn’t encounter them as a student #occhat (Tue, 26 Feb 2013 20:53:22 +0000)
@kirstyes @otnotes reimbursed – by insurance companies is that? #occhat (Tue, 26 Feb 2013 20:53:49 +0000)
@tigrez @BillWongOT @annabelrule @clissa89 …potential disappointment of not achieving specific set goals. #occhat (Tue, 26 Feb 2013 20:54:19 +0000)
@tabbycats4 @BillWongOT only seen one run by LAU but expensive will keep a look out #occhat (Tue, 26 Feb 2013 20:54:26 +0000)
@BillWongOT @annabelrule I think they are used… but they are sometimes embedded in our practice. #occhat (Tue, 26 Feb 2013 20:54:44 +0000)
@clissa89 @tabbycats4 @BillWongOT let me know if you find anything! I’m looking too #occhat (Tue, 26 Feb 2013 20:55:09 +0000)
@CharOTReilly @Dai2584 thanks David #occhat (Tue, 26 Feb 2013 20:55:12 +0000)
@kirstyes @annabelrule That’s interesting, I worked in a phys setting and often saw action plans as the goals rather than occ outcomes. #occhat (Tue, 26 Feb 2013 20:55:23 +0000)
@tabbycats4 @kirstyes TBH writting SMART goals not a strong point yet.. feels bit false, writing out using each letter so far #occhat (Tue, 26 Feb 2013 20:55:50 +0000)
@anyadei @FrancescaABrown interesting! Not just the outcome of the goal, but who’s outcome is achieving the goal?! Patients or services?! #occhat (Tue, 26 Feb 2013 20:55:51 +0000)
@annabelrule @BillWongOT yes I guess I meant they’re not formally written or presented to patient. Feels to me more rehab than acute? #occhat (Tue, 26 Feb 2013 20:55:56 +0000)
@BillWongOT @tigrez @annabelrule @clissa89 that’s where knowing ur client is handy. I’m resilient, I don’t feel 2 discouraged w/ goals not met. #occhat (Tue, 26 Feb 2013 20:55:56 +0000)
@tigrez @BillWongOT @annabelrule @clissa89 Specific goals need to be realistically achievable AND meaningful(not so low as to be patronising) #occhat (Tue, 26 Feb 2013 20:56:06 +0000)
@clissa89 @BillWongOT @tigrez @annabelrule you’re right, it’s all about knowing our clients 🙂 #occhat (Tue, 26 Feb 2013 20:56:20 +0000)
@OTKaff #occhat thanks everyone lots of food for thought and info to mull over. Need to set self a goal to read and reflect on docs posted!(Tue, 26 Feb 2013 20:56:40 +0000)
@kirstyes @CharOTReilly That’s how I would distinguish them. So goal, stand from chair safely in 1 attempt. Action -provide chair raisers etc. #occhat (Tue, 26 Feb 2013 20:56:57 +0000)
@Flawson12 @clissa89 @BillWongOT @tigrez @annabelrule Agreed 🙂 #occhat (Tue, 26 Feb 2013 20:57:14 +0000)
@tabbycats4 clissa89 @tabbycats4 @BillWongOT hmmm Maybe we could strike a deal if we have a few numbers interested..will investigate 🙂 #occhat (Tue, 26 Feb 2013 20:57:16 +0000)
@BillWongOT @tigrez @annabelrule @clissa89 yes… I purposely set them on the high side as a client. #occhat (Tue, 26 Feb 2013 20:57:21 +0000)
@clissa89 @OTKaff the grabchat will be up in 24 hours, if you missed any links etc 🙂 #occhat (Tue, 26 Feb 2013 20:57:34 +0000)
@BillWongOT @tigrez @annabelrule @clissa89 But I know I have to tone that down if I work with individuals w/ #autism sometimes. #occhat (Tue, 26 Feb 2013 20:57:43 +0000)
@kirstyes Thanks all. Last 3 minutes. Take home messages? #occhat .
Anyone think they might explore framing goals around OT model they use?(Tue, 26 Feb 2013 20:57:59 +0000)
@tigrez @clissa89 @kirstyes how they work here is professionals assess and draw up what level of support/prompts/ independence to work to.. #occhat (Tue, 26 Feb 2013 20:58:08 +0000)
@clissa89 #occhat MT @OTSophie : I think the goal is what they want to achieve and the action plan is how to achieve it?We call them needs&outcomes(Tue, 26 Feb 2013 20:58:09 +0000)
@annabelrule @kirstyes I will look out for them as I rotate! Come to think of it, think they were used as a student in Stroke rehab lots. #occhat (Tue, 26 Feb 2013 20:58:12 +0000)
@CharOTReilly @Dai2584 yes I’m Cardiff that’s right #occhat where are you based?(Tue, 26 Feb 2013 20:58:44 +0000)
@otnotes @kirstyes yes. Also must be measurable in school settings,etc for legal reasons in US. No maintenance plans allowed #occhat (Tue, 26 Feb 2013 20:58:53 +0000)
@OTSophie . @CharOTReilly . @kirstyes goal:what they want to achieve and the action plan how to achieve it?We call them needs&outcomes #occhat (Tue, 26 Feb 2013 20:59:07 +0000)
@clissa89 @otnotes @kirstyes what do you mean by maintenance plan? #occhat (Tue, 26 Feb 2013 20:59:14 +0000)
@BillWongOT @kirstyes Client centered and/or family centered are vital in goal setting. #occhat (Tue, 26 Feb 2013 20:59:29 +0000)
@kirstyes @clissa89 @OTKaff I’m going to post grabchat nowish and then redo in 24 hours – that way if life gets in the way it’s there!! #occhat (Tue, 26 Feb 2013 20:59:30 +0000)
@tigrez @clissa89 @kirstyes with primary care workers going in upto 4xday to work from plans,then person reviewed & plans updated regularly #occhat (Tue, 26 Feb 2013 21:00:19 +0000)
@otnotes @clissa89 @kirstyes #occhat Our goals must reflect therapy achieving something new, not preventing disability or maintaining fxn.(Tue, 26 Feb 2013 21:00:51 +0000)
@kirstyes @annabelrule If you aren’t seeing that then that might be a good thing. Think an action plan needed by a goal to make it achieveable #occhat (Tue, 26 Feb 2013 21:01:06 +0000)
@clissa89 Thank you everyone for participating tonight… I’m going to sneak off now! #occhat (Tue, 26 Feb 2013 21:01:20 +0000)
@BillWongOT @tigrez @clissa89 @kirstyes speaking of primary care, OT is trying to find its place in it in US #occhat (Tue, 26 Feb 2013 21:01:36 +0000)
@Keeper85 #occhat damn! Did I miss the chat!? I wanted to see this one!(Tue, 26 Feb 2013 21:01:36 +0000)
@clissa89 @Keeper85 know you’ve got a lot to say on this topic – so talk away! officially over but grabchat includes 24hrs after #occhat (Tue, 26 Feb 2013 21:02:15 +0000)
@kirstyes @tabbycats4 Do take a look at the examples in the chapter I posted – much better format than using letters individually. #occhat (Tue, 26 Feb 2013 21:02:38 +0000)
@LadybirdLynnie @clissa89 me too…need to prepare to fly back to the UK from New Zealand ? groan!!! #occhat L x(Tue, 26 Feb 2013 21:03:10 +0000)
@Keeper85 @clissa89 ill have a read first and provide an opinion lol #occhat (Tue, 26 Feb 2013 21:04:38 +0000)
@tigrez @clissa89 @billwongot @annabelrule agreed, it works well with some.Though not popular to have unmet goals from tendering perspective #occhat (Tue, 26 Feb 2013 21:04:54 +0000)
@anyadei Thanks one and all for great conversations this evening #HAchat #occhat night night!(Tue, 26 Feb 2013 21:05:02 +0000)
@tabbycats4 kirstyes
thank you I will do #occhat (Tue, 26 Feb 2013 21:05:02 +0000)
@annabelrule @kirstyes true, I think perhaps action plans are there but not explicitly labelled so. #occhat (Tue, 26 Feb 2013 21:05:11 +0000)
@kirstyes Thanks everyone. Sorry if I missed commenting on your contribution. #occhat (Tue, 26 Feb 2013 21:05:34 +0000)
@BillWongOT @tigrez @clissa89 @annabelrule with folks with #autism (aside from myself), I will try to error on the conservative side. 1/2 #occhat (Tue, 26 Feb 2013 21:06:14 +0000)
@BillWongOT @tigrez @clissa89 @annabelrule my reason is that some individuals w/ #autism can b afraid of failure. Goals set 2 high can cause it. #occhat (Tue, 26 Feb 2013 21:07:10 +0000)
@Stalkerbird @kirstyes thanks for hosting Kirsty, was really thought provoking #occhat (Tue, 26 Feb 2013 21:07:52 +0000)
@kirstyes @Stalkerbird Thanks as always to contributors. Have Occupational Interventions and Occupational Evaluation/Outcome Measures to come #occhat (Tue, 26 Feb 2013 21:10:17 +0000)
@kirstyes RT @otnotes : @clissa89 @kirstyes #occhat Our goals must reflect therapy achieving something new, not preventing disability or maintaining fxn.(Tue, 26 Feb 2013 21:10:52 +0000)
@kirstyes RT @clissa89 : #occhat MT @OTSophie : I think the goal is what they want to achieve and the action plan is how to achieve it?We call them needs&outcomes(Tue, 26 Feb 2013 21:11:11 +0000)
@tigrez Tendering for services is having an impact on what managers want from outcome measures such as goal setting, to justify the service #occhat (Tue, 26 Feb 2013 21:11:19 +0000)
@Lisa_D_OT Looking forward to having enough brain power left over at the end of a Tuesday to join in #occhat soon – job is frying my brain at the mo :/(Tue, 26 Feb 2013 21:13:26 +0000)
@tigrez @BillWongOT @clissa89 @annabelrule that should be the main consideration :), but there is an increasing need to justify services too #occhat (Tue, 26 Feb 2013 21:14:04 +0000)
@kirstyes @gilliancrossley Do you think the emphasis is more on the service or the client wanting to see achievements? #occhat (Tue, 26 Feb 2013 21:17:09 +0000)
@tigrez @kirstyes hmm, formal official service goals, and informal working goals? i can see it working, but may be issues with ethics #occhat (Tue, 26 Feb 2013 21:18:32 +0000)
@kirstyes @OTSophie @OTalk_Occhat But that’s still an occupational goal you just aren’t specifying how you’ll get there upfront. #occhat (Tue, 26 Feb 2013 21:18:48 +0000)
@kirstyes @OTSophie @OTalk_Occhat Then you get to trial different options to find the one that works the best – win win (I hope). #occhat (Tue, 26 Feb 2013 21:19:15 +0000)
@kirstyes @BillWongOT I like the simplicity & structure of this. Think you could also set, volitional, habituational & performance goals sep 2 #occhat (Tue, 26 Feb 2013 21:21:17 +0000)
@Keeper85 @gilliancrossley @OTalk_Occhat who determines what’s achievable?? #occhat (Tue, 26 Feb 2013 21:21:33 +0000)
@kirstyes @Flawson12 Sorry missed these – think you need to leave a space before the #occhat for it to show up.(Tue, 26 Feb 2013 21:22:05 +0000)
@kirstyes RT @IanRMcMillan1 need to look at both I think, see the chapter by McMillan in Duncan’s book, Foundations for Practice in OT #occhat (Tue, 26 Feb 2013 21:23:03 +0000)
@kirstyes @IanRMcMillan1 Sorry missed this one. Don’t forget the #occhat . I’ve retweeted the link. I agree with you btw ;o)(Tue, 26 Feb 2013 21:23:41 +0000)
@mamaotblog RT @HHStaff : . @mamaotblog reviews the @DexteriaApp LetterReflex on @AOTAInc blog –> http://t.co/OY9HqyaSmV #OTuesday #occhat (Tue, 26 Feb 2013 21:24:37 +0000)
@kirstyes RT @Flawson12 yes, in my setting children and their parents. Clear goal from the inital assessment #occhat (Tue, 26 Feb 2013 21:25:25 +0000)
@kirstyes RT @Flawson12 may be more than one goal eg one for school one for home #occhat (Tue, 26 Feb 2013 21:25:40 +0000)
@kirstyes RT @Flawson12 @clissa89 similary in my practice (CAMHS) it is also a combination #occhat (Tue, 26 Feb 2013 21:27:13 +0000)
@kirstyes RT @Flawson12 end of initial assess i reflect areas of challenge& strengths for the child/family. then identify goals from that #occhat (Tue, 26 Feb 2013 21:28:09 +0000)
@Keeper85 RT @FrancescaABrown : #occhat I may be misunderstanding, but often goal setting was so specific & seemed to be purely for outcome measures for service & not so cc(Tue, 26 Feb 2013 21:28:16 +0000)
@Keeper85 @CharOTReilly @kirstyes ooooo resources shouldn’t effect an OT’s ability to be occ focused #occhat (Tue, 26 Feb 2013 21:30:29 +0000)
@kirstyes @tigrez Indeed. A question to ponder. #occhat – Or maybe need to consider diff outcome meaures – come back to chat in a month ;o) #occhat (Tue, 26 Feb 2013 21:30:54 +0000)
@Keeper85 @BillWongOT @kirstyes you can’t say that for sure #occhat (Tue, 26 Feb 2013 21:31:04 +0000)
@BillWongOT @Keeper85 @kirstyes but I heard there is a movement towards that in the US. #occhat (Tue, 26 Feb 2013 21:31:54 +0000)
@kirstyes @Keeper85 @CharOTReilly But they are a challenge. How would you overcome? #occhat (Tue, 26 Feb 2013 21:32:10 +0000)
@Keeper85 @kirstyes @CharOTReilly that’s y OT’s are trained to think outside the box. There is always a way to stay occ focused #occhat (Tue, 26 Feb 2013 21:33:49 +0000)
@kirstyes @OTSophie @OTalk_Occhat I’d still say that was specific in terms of the goal though. #occhat (Tue, 26 Feb 2013 21:33:58 +0000)
@BillWongOT @OTSophie @kirstyes @OTalk_Occhat and I think many OT’s have to deal with this. #occhat (Tue, 26 Feb 2013 21:34:07 +0000)
@kirstyes @Keeper85 @CharOTReilly What’s a box Brock? ;o) #occhat (Tue, 26 Feb 2013 21:34:34 +0000)
@Keeper85 #occhat re SMART I think a lot of ppl are taught them at uni, aren’t shown other methods or taught to critically assess the format(Tue, 26 Feb 2013 21:35:11 +0000)
@Keeper85 #occhat if ppl know no other way then of course they are going to accept what they know as “the best”(Tue, 26 Feb 2013 21:36:32 +0000)
@Keeper85 #occhat we always work with what we know….I challenge everyone to “know more”(Tue, 26 Feb 2013 21:37:00 +0000)
@Keeper85 #occhat if you learn 3-4 goal setting constructs and still think SMART is the best and can keep it occ focused then go for it(Tue, 26 Feb 2013 21:38:19 +0000)
@Keeper85 RT @kirstyes : @Keeper85 @CharOTReilly What’s a box Brock? ;o) #occhat (Tue, 26 Feb 2013 21:38:51 +0000)
@RebeccaTwinley RT @Keeper85 : #occhat we always work with what we know….I challenge everyone to “know more”(Tue, 26 Feb 2013 21:38:57 +0000)
@Keeper85 #occhat I do think though thatif you do a little reading into other methods/frameworks of goal attainment you may be surprised(Tue, 26 Feb 2013 21:39:45 +0000)
@Keeper85 #occhat I personally find smart goals very limiting, and are generally used as a service outcome measure rather then a consumer outcome m..(Tue, 26 Feb 2013 21:41:10 +0000)
@Keeper85 #occhat SMART is not fluid enough for use with a the demographic I work with who often have rapid changes in both goals and acheivability(Tue, 26 Feb 2013 21:42:46 +0000)
@Keeper85 #occhat personally I’ve never written a smart goal for myself that actually played out the way it was written.(Tue, 26 Feb 2013 21:44:08 +0000)
@Keeper85 #occhat life is not concrete so y are we making our goals to stem the natural flow of life?(Tue, 26 Feb 2013 21:44:51 +0000)
@jfaias ? @Keeper85 : #occhat SMART is not fluid enough for use w the demographic I work w who often rapid changes both goals & acheivability? agree(Tue, 26 Feb 2013 21:45:01 +0000)
@Keeper85 #occhat vent over lol just had a few things to throw out there as food for thought ?(Tue, 26 Feb 2013 21:45:26 +0000)
@kirstyes RT @Keeper85 : #occhat if ppl know no other way then of course they are going to accept what they know as “the best”(Tue, 26 Feb 2013 21:45:56 +0000)
@tigrez RT @Keeper85 : #occhat life is not concrete so y are we making our goals to stem the natural flow of life?(Tue, 26 Feb 2013 21:46:44 +0000)
@kirstyes @Keeper85 trying to change that ;o) #occhat Even encouraged to clinically reason why we need goals.(Tue, 26 Feb 2013 21:46:59 +0000)
@jfaias ? @Keeper85 : #occhat life is not concrete so y are we making our goals to stem the natural flow of life?? Good point(Tue, 26 Feb 2013 21:47:00 +0000)
@kirstyes @Keeper85 Think I need to assess your SMART goal setting Brock ;o) #occhat (Tue, 26 Feb 2013 21:48:07 +0000)
@tigrez @Keeper85 @CharOTReilly @kirstyes they shouldnt, but have to be factored in when resources are limited #occhat (Tue, 26 Feb 2013 21:49:00 +0000)
@Keeper85 @kirstyes good luck lol #occhat (Tue, 26 Feb 2013 21:49:33 +0000)
@Keeper85 RT @tigrez : @Keeper85 @CharOTReilly @kirstyes they shouldnt, but have to be factored in when resources are limited #occhat (Tue, 26 Feb 2013 21:49:47 +0000)
@BillWongOT RT @tigrez : @Keeper85 @CharOTReilly @kirstyes they shouldnt, but have to be factored in when resources are limited #occhat (Tue, 26 Feb 2013 21:50:57 +0000)
@Keeper85 @tigrez @CharOTReilly @kirstyes occ focus should be the #2 focus, resources #3 . Therapeutic use of self if no resources at all #occhat (Tue, 26 Feb 2013 21:51:58 +0000)
@Keeper85 @tigrez @CharOTReilly @kirstyes p.s. before you ask the person should be #1 lol #occhat (Tue, 26 Feb 2013 21:52:20 +0000)
@tigrez @anyadei @kirstyes important for client autonomy, motivation,
and in working together, informed consent, & cooperation in the rehab #occhat (Tue, 26 Feb 2013 21:52:59 +0000)
@tigrez @anyadei @kirstyes i find i have to guide clients in thinking what else they want to do in their life aswell as “walk better again” #occhat (Tue, 26 Feb 2013 21:55:25 +0000)
@anyadei @tigrez @kirstyes #occhat yes, as tutor with EPP, action plans and goals not always to do with health! Good to mix it up a bit and have fun!(Tue, 26 Feb 2013 21:57:15 +0000)
@tigrez @Keeper85 @CharOTReilly @kirstyes yes i agree, however for a service to continue, it has to prove it is effective and cost effecient #occhat (Tue, 26 Feb 2013 21:57:30 +0000)
@BillWongOT @tigrez @Keeper85 @CharOTReilly @kirstyes and also evidence based. #occhat (Tue, 26 Feb 2013 22:00:57 +0000)
@BillWongOT @tigrez @anyadei @kirstyes I love the guiding strategy. We should not be advice givers all the time. #occhat (Tue, 26 Feb 2013 22:02:40 +0000)
@Keeper85 @CharOTReilly @kirstyes who decides what’s realistic? #occhat (Tue, 26 Feb 2013 23:54:26 +0000)
@BillWongOT @family_success you can try by trying to responding to today’s #occhat and I will respond to what you tweet.(Wed, 27 Feb 2013 02:48:12 +0000)
@gilliancrossley @Keeper85 both client and OT sometimes we need to.guide people to reslistic too #occhat (Wed, 27 Feb 2013 06:09:36 +0000)
@gilliancrossley @kirstyes i there is always an element of both. client usually wants to, and it helps show OT works #occhat (Wed, 27 Feb 2013 06:11:10 +0000)
@Keeper85 @gilliancrossley and who decides when guidance is necessary? #occhat (Wed, 27 Feb 2013 07:01:36 +0000)
@CommuneOT RT @Keeper85 : #occhat we always work with what we know….I challenge everyone to “know more”(Wed, 27 Feb 2013 07:30:00 +0000)
@CharOTReilly @Keeper85 @kirstyes my guess would be the demands of entire service & of individual clients vs what resources are available. #occhat (Wed, 27 Feb 2013 08:02:26 +0000)
@kirstyes Didn’t do #occhat grabchat after all, people still nattering. If it’s not up by 10pm tonight feel free to nag me!(Wed, 27 Feb 2013 09:53:39 +0000)
@VictoriaBetton Calling all allied health professionals – AHP conference in Leeds will be using hashtag #AHPconf2013 tomorrow @BAOT @OTalk_Occhat #occhat (Wed, 27 Feb 2013 19:09:38 +0000)

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